Approach to the treatment of patient with T2-associated bronchial asthma using biological therapy: a case report from real practice


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Abstract

Background. This article is devoted to the description of T2-associated bronchial asthma (BA), the role of the main cytokines that form T2-inflammation. The emphasis on the participation of interleukins 4 and 13 as key cytokines in the initiation and maintenance of T2 inflammation in the pathogenesis of BA is made. Description of the clinical case. The article presents a clinical case with the selection of a biological drug and further long-term and effective use of a biological molecule - dupilumab for the treatment and control of severe T2-associated asthma. Conclusion. In the case of our patient, dupilumab significantly improved the control of severe asthma; there were no exacerbations or episodes of taking systemic glucocorticosteroids. The most significant effect for the patient was an increase in the psycho-emotional background, an increase in physical and social activity and, as a result, an improvement in the quality of life.

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About the authors

Marina Yu. Peredelskaya

Russian Medical Academy of Continuous Professional Education

Email: concy1984@gmail.com
Teaching Assistant at the Department of Allergology and Immunology Moscow, Russia

O. V Sebekina

Russian Medical Academy of Continuous Professional Education

Moscow, Russia

N. M Nenasheva

Russian Medical Academy of Continuous Professional Education

Moscow, Russia

Yu. A Peredelsky

Bryansk City Hospital № 4

Bryansk, Russia

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